Reliability.
Innovation.
Delivered.

We modernize public health and human services programs for millions, combining proven reliability with relentless innovation to help Medicaid move faster, spend smarter, and improve lives.

See How We Deliver

Trusted nationwide.
Focused on your goals.

As your strategic partner, we turn bold ideas into real-world impact. Cloud-ready solutions cut complexity, surface insight, and streamline experiences for members, providers, and program teams, delivering measurable savings and healthier communities.

Get to Know Us

Community Engagement Verification Made Simple

Justice-Involved Populations

Transforming Provider Experiences

Our Solutions

We deliver what matters most to those who can make the most impact.

Whatever your challenges or limitations, we have the solutions and expertise necessary to meet you where you are on your modernization journey and propel you further.

Medicaid Enterprise

Modernizing claims, encounters, and financials with intelligent automation and interoperability through Gainwell Enterprise™.

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Data & Analytics

Transforming your most complex data into actionable insights with Gainwell Genius™.

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Provider Solutions

Delivering seamless experiences for providers to enhance care and optimize efficiencies with Gainwell Provider+™.

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Human Services & Public Health Solutions

Improving the well-being of communities through person-centered, data-driven approaches with Gainwell Assist™.

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Systems Integration & Interoperability

Accelerating modernization, connectivity, and operational efficiency with Gainwell Connect™.

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Pharmacy Solutions

Optimizing medication management to lower the total cost of care while improving patient outcomes with Gainwell Rx™.

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Coordination of Benefits

Providing comprehensive and innovative third-party liability solutions.

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Payment Integrity

Helping plans avoid and recover improper payments while detecting and preventing fraud.

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Care Quality

Enabling quality care and affordability with strategies that balance empathy and efficiency.

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Population Health

Driving measurable impact through predictive analytics and whole-person care with Gainwell Whole Health™.

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Upcoming Events: National Association of Medicaid Directors Fall 2025 Conference

November 19-21, 2025 | National Harbor, MD

More Event Details

50+ Years

Delivering Proven Healthcare Solutions

3.7 Million

Providers Engaged Annually

70%

Medicaid and CHIP Enrollees Supported

Better experiences and outcomes are our measure of success.

With one of the most comprehensive suites of scalable services and solutions in our markets, Gainwell can partner with you to advance the future of healthcare one state, one program, and one member at a time.

Cost Containment & Care Quality

Driving Record Recoveries, Accelerating Compliance

25-Year Partnership

Demonstrated Quarterly Recovery Figures

4-Month
CMS Certification Success

Read the Case Study

Medicaid Management

Accelerating Provider Enrollment in Vermont

87.5% Reduction in Enrollment Processing Time

2.4% Increase in Enrollments & Revalidations Process

180,000 Members Served Across the State

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A man in dark grey and a woman in light grey, both wearing glasses, walk down the stairs of a modern office in conversation about Gainwell Technologies.

Grow your career and gain more with Gainwell.

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Actionable insights that
empower healthcare progress.

We deliver ideas that help shape the future of healthcare.

Let’s shape the future of healthcare together.

Start the conversation today.

Reliability.
Innovation.
Delivered.

Trusted nationwide.
Focused on your goals.

Community Engagement Verification Made Simple

Justice-Involved Populations

Transforming Provider Experiences

We deliver what matters most to those who can make the most impact.

Medicaid Enterprise

Data & Analytics

Provider Solutions

Human Services & Public Health Solutions

Systems Integration & Interoperability

Pharmacy Solutions

Coordination of Benefits

Payment Integrity

Care Quality

Population Health

Upcoming Events: National Association of Medicaid Directors Fall 2025 Conference

50+ Years

3.7 Million

70%

Better experiences and outcomes are our measure of success.

Driving Record Recoveries, Accelerating Compliance

Accelerating Provider Enrollment in Vermont

Grow your career and gain more with Gainwell.

Actionable insights that
empower healthcare progress.

MES Vendor Strategy: Three Essentials When Consolidating IT and Business Operations

Improving Health Outcomes and Program Effectiveness for Justice-Involved Populations

Building a Data-Driven Care Ecosystem: Five Lessons for Medicaid Leaders

MES Vendor Strategy: Three Essentials When Consolidating IT and Business Operations

Improving Health Outcomes and Program Effectiveness for Justice-Involved Populations

Building a Data-Driven Care Ecosystem: Five Lessons for Medicaid Leaders

Let’s shape the future of healthcare together.

Reliability. Innovation. Delivered.

Trusted nationwide. Focused on your goals.

Community Engagement Verification Made Simple

Justice-Involved Populations

Transforming Provider Experiences

We deliver what matters most to those who can make the most impact.

Medicaid Enterprise

Data & Analytics

Provider Solutions

Human Services & Public Health Solutions

Systems Integration & Interoperability

Pharmacy Solutions

Coordination of Benefits

Payment Integrity

Care Quality

Population Health

Upcoming Events: National Association of Medicaid Directors Fall 2025 Conference

50+ Years

3.7 Million

70%

Better experiences and outcomes are our measure of success.

Grow your career and gain more with Gainwell.

Actionable insights that empower healthcare progress.

Let’s shape the future of healthcare together.

Reliability.
Innovation.
Delivered.

Trusted nationwide.
Focused on your goals.

Actionable insights that
empower healthcare progress.